Displaying 69821-69830 of 1611142 results.
ID:
69821
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2171002
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69822
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
403920
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69823
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
312068
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69824
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
314152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69825
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
312071
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69826
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
859867
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69827
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
992481
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69828
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
198159
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69829
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191256
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69830
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
992459
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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